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Regional Oral Health Summit Final Report 2011 Regional Oral Health Summit Final Report The Role of Public-Private Partnerships in Improving Oral Health Tuesday, September 13, 2011 University of Kansas Medical Center Beller Conference Center Kansas City, Kansas Department of Health and Human Services DHHS 11/10/2011 1 HRSA Regional Oral Health Summit Final Report Contents Page Executive Summary…………………………………………………………………. 3 I. Introduction…………………………………………………………………………...5 II. Welcoming Remarks………………………………………………………………….7 a. Judy Baker, Department of Health and Human Services (HHS) Regional Director………………………………………………………7 III. New Landscape in Oral Health………………………………………………………9 a. CAPT Debra Scott, Health Resources and Services Administration (HRSA), Regional Administrator……………………………………………..9 b. Ralph Fuccillo, President of DentaQuest Foundation……………………….11 c. Dr. Peter Damiano, University of Iowa, Director Public Policy Center……..12 IV. Panel of Federal Partners…………………………………………………………..13 a. Sam Gabuzzi –Administration on Aging………………………………….…13 b. Elizabeth Cox, Administration for Children and Families…………………...14 c. LT Sheila Weagle, Centers for Disease Control and Prevention………….....14 d. Gail Brown-Stevens, Centers for Medicare and Medicaid Services…………15 e. CAPT Julie Sadovich, Health Resources and Services Administration……..15 V. State Break Out Groups……………………………………………………………17 a. Iowa………………………………………………………………………….18 b. Kansas………………………………………………………………………..21 c. Missouri……………………………………………………………………....22 d. Nebraska……………………………………………………………………..23 VI. Key Note- Dr. Howard Koh, HHS Assistant Secretary for Health………………26 VII. Requests and Offers…………………………………………………………………27 VIII. Summit Evaluation…………………………………………………………………..29 IX. Conclusion……………………………………………………………………………34 X. Appendix………………………………………………………………………….….36 2 Executive Summary The Health Resources and Services Administration (HRSA) Regional Oral Health Summit was held on September 13, 2011 at the University of Kansas Medical Center, Beller Conference Center in Kansas City, KS. Co-sponsors included the DentaQuest Foundation, The Health Care Foundation of Greater Kansas City, the Missouri Foundation for Health, and the U.S. Department of Health and Human Services‟ (HHS) Office of Minority Health. There were approximately 130 participants at the summit, with 52 attendees from Missouri, 17 from Iowa, 10 from Nebraska, and 30 from Kansas. In addition, staff attended from several Federal agencies and the University of Kansas Medical Center. The overall goal of the Oral Health Summit was to facilitate a regional discussion on oral health, and to leverage resources to optimally support HHS and regional oral health priorities to advance public- private partnerships. Outcomes included the introduction of regional partners and stake holders that are working on oral health access and prevention strategies, and to allow stake holders to meet and interact with each other. The agenda included welcoming remarks from Judy Baker, the HHS Regional Director in Region VII, followed by a session on the new landscape that addressed new developments in oral health. Remarks were given by CAPT Debra Scott, HRSA Regional Administrator; Ralph Fuccillo, President of the DentaQuest Foundation and a founding board member of the U.S. National Oral Health Alliance (The Alliance); and Dr. Peter Damiano, Director of the Public Policy Center and Professor of Dentistry at the University of Iowa. Dr. Damiano and Mr. Fuccillo served as co-lead facilitators for the day. A panel of Federal representatives from five agencies next spoke on their oral health programs including, the Administration on Aging (AoA), the Administration for Children and Families (ACF), the Centers for Disease Control and Prevention (CDC), the Centers for Medicare and Medicaid Services (CMS), and the Health Resources and Services Administration (HRSA). Each of the panelists presented an agency overview and discussed their role in improving oral health access. After this session, participants from each of the four States met in groups to answer questions about oral health issues and potential actions. Facilitators led a discussion about how to strengthen public–private partnerships in oral health within their respective states. A normative group process was used to determine the key oral health challenge, followed by a facilitated discussion on significant populations that were affected, individual roles in addressing the issue, additional resources that may be needed, and actions that the group could take to ensure that the effort continues for at least the next year. The Iowa breakout group agreed that community water fluoridation should be highlighted during the upcoming year. In the Kansas breakout, the lack of oral health providers in rural communities was selected, while the Missouri breakout selected access to care as a key challenge, with the understanding that many identified issues could be included in actions to address the main issue of access. The Nebraska participants concurred that their challenge is insufficient data collection, with the need for greater surveillance and an evaluation component to provide a baseline of oral health outcomes in the State. Dr. Howard Koh, the HHS Assistant Secretary for Health gave the key note address, elaborating on HHS oral health initiatives, with a focus on addressing oral health disparities, then representatives from each state reported out on the results of their group discussions. The summit closed with a „Requests and Offers” session and a discussion of next steps. 3 The goals and objectives of bringing together federal agencies, state health officials, providers, academia, and advocacy groups into one common meeting place to not only discuss, but also address oral health as a public health issue was achieved. The HRSA staff and Planning Committee members received positive feedback on the success of the summit, with requests to make it an annual event. However, it is too early to say whether the event will have a sustained impact or lead to significant improvement in oral health outcomes in the region. Success can only be determined by the progress that is achieved from the actual implementation of the action plans developed at the conference. The real work is still to come and HRSA staff must be ready to assist or provide leadership if necessary. The Oral Health Summit was a first step in garnering a framework of collective impact for social progress. With this understanding, HRSA and HHS partners will continue to foster the public private collaboration with the U.S. National Oral Health Alliance, state leadership, philanthropic organizations, and other partners, to continue to address oral health disparities and access issues. If successful, we hope in the coming years to report significant improvements for those most in need of oral health care. If so, we will have been successful in improving the oral health and quality of life for members of the communities in our region. 4 I. Introduction The Health Resources and Services Administration, Regional Oral Health Summit was held on September 13, 2011 at the University of Kansas Medical Center, Beller Conference Center in Kansas City, KS. Co-sponsors included the DentaQuest Foundation, the Health Care Foundation of Greater Kansas City, the Missouri Foundation for Health, and the U.S. Department of Health and Human Services (HHS), Office of Minority Health. There were approximately 130 participants at the Summit with 52 attendees from Missouri, 17 from Iowa, 10 from Nebraska, and 30 from Kansas. In addition about 15 staff from Federal Programs participated, and five students and faculty from the University of Kansas Medical Center. A. Background The Health Resources and Services Administration (HRSA) recently asked the Institute of Medicine (IOM) to provide advice on where to focus its efforts in oral health. The IOM was charged with assessing the current oral health care system, reviewing the elements of a HHS Oral Health Initiative, and exploring ways to promote the use of preventive oral health interventions and improve oral health literacy. A parallel study focused on issues of access to oral health care for underserved and vulnerable populations. In support of the IOM Report on Oral Health, and the HHS Oral Health Initiative 2010, the HRSA Office of Regional Operations in Kansas City, began to reach out to a broad spectrum of regional and Federal oral health stakeholders. As a result of these meetings, HRSA Region VII staff formed an Oral Health Summit Planning Committee comprised of key oral health leaders. Subsequently, the State Dental Health Directors were engaged to determine the two or three key principles that would be most relevant to focus on in their states, based on the Organizing Principles recommended in the first IOM Report. The role of public and private partnerships emerged as the common denominator in Iowa, Kansas, Missouri and Nebraska. The summit provided a venue for each state to conduct a facilitated analysis of this focus area, along with a panel of Federal leadership to discuss public-private partnerships and their role in improving oral health. In addition to the increased Federal focus on oral health, new national dental initiatives are emerging, such as the U.S. National Oral Health Alliance that endeavors to forge common ground among both public and private partners for the promotion of optimal oral health, especially as it relates to services for underserved communities. The summit presented an opportunity for ground breaking discussions with colleagues
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